| NPI | 1699149013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM ASHIQ Administrator 301-313-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |